Development of the Emergency Department Senior Abuse Identification (ED Senior AID) tool

Emergency departments (EDs) are an important health care setting for the identification of elder abuse (EA). Our objective was to develop an ED-based tool to identify EA. The initial tool included a brief cognitive assessment, questions to detect multiple domains of EA, and a physical examination. Refinement of the tool was based on input from clinical experts and nurse and patient feedback. The revised tool, which included 15 questions about EA, was then tested in an academic ED. We calculated the inter-rater reliability, sensitivity, and specificity of individual EA questions. Among ED patients age≥65 (N = 259), 17 (7%) screened positive for suspicion of EA. We identified a combination of six questions that cover the included domains of EA, demonstrated good or excellent inter-rater reliability, and had a sensitivity and specificity of 94% (95% confidence interval (CI) 71–100%) and 90% (95% CI 85–93%), respectively. These results inform a proposed screening tool for multisite validation testing.     

Teachers’ Perceptions of Childcare and Preschool Expulsion

Previous research outlines the correlates of childcare expulsion in the USA, yet researchers know little about how these correlates produce expulsion. This in‐depth qualitative analysis of 30 childcare providers’ accounts of expulsion finds a patterned process to expulsion: Teachers search for causes and solutions to challenging behaviours. When interventions fail, overwhelmed teachers shift their focus from ‘struggling’ children to ‘bad families’. Once the explanation of behaviour changes from within to outside of the child, expulsion is imminent. Interventions in teachers’ understandings, not only in children's behaviours, are discussed as a possible way to reduce expulsion.     

Deaf access to justice in Northern Ireland: rethinking ‘Reasonable Adjustment’ in the Disability Discrimination Act

Abstract

This article provides findings of a qualitative study exploring the interactions of eight Deaf participants and one hearing ally with the justice system in Northern Ireland, where the Disability Discrimination Act requires solicitors to make ‘reasonable adjustments’ in order to provide effective access to Deaf clients. Three thematic categories emerged: (a) barriers to accessing justice, (b) work Deaf people do for access, and (c) the need to educate solicitors about access. A central strain ran through these themes: the idea that ‘reasonable adjustment’ must reflect the value of sign language interpreters in facilitating effective communication access for all the parties.     

A qualitative investigation of risk and protective factors for interpersonal violence in adults on the autism spectrum

Abstract

Individuals on the autism spectrum are at an increased risk of experiencing violence. This study sought to understand the opinions of adults on the spectrum regarding potential risk and protective factors for interpersonal violence. Twenty-two adults (12 men; 18 to 53 years of age) participated in semi-structured qualitative interviews. Interviews were recorded, transcribed, and analysed. The results of the qualitative analysis identified individual and contextual risk and protective factors. Protective themes focused on individual needs (awareness of the self and the environment, interpersonal knowledge/skills, skill building strategies) and supportive contexts (benefits of a trusted person, advocates, fostering acceptance and inclusion). There is a need for strategies to decrease the vulnerability to, and the impact of, interpersonal violence. Individuals on the spectrum have the capacity to provide important information regarding safety promotion and risk factors for interpersonal violence, and their expertise should play a role in guiding efforts that promote safety.     

Total and forcing total edge-to-vertex monophonic number of a graph

For a connected graph \(G = \left( V,E\right) \), a set \(S\subseteq E(G)\) is called a total edge-to-vertex monophonic set of a connected graph G if the subgraph induced by S has no isolated edges. The total edge-to-vertex monophonic number \(m_{tev}(G)\) of G is the minimum cardinality of its total edge-to-vertex monophonic set of G. The total edge-to-vertex monophonic number of certain classes of graphs is determined and some of its general properties are studied. Connected graphs of size \(q \ge 3 \) with total edge-to-vertex monophonic number q is characterized. It is shown that for positive integers \(r_{m},d_{m}\) and \(l\ge 4\) with \(r_{m}< d_{m} \le 2 r_{m}\), there exists a connected graph G with \(\textit{rad}_ {m} G = r_{m}\), \(\textit{diam}_ {m} G = d_{m}\) and \(m_{tev}(G) = l\) and also shown that for every integers a and b with \(2 \le a \le b\), there exists a connected graph G such that \( m_{ev}\left( G\right) = b\) and \(m_{tev}(G) = a + b\). A forcing subset for S of minimum cardinality is a minimum forcing subset of S. The forcing total edge-to-vertex monophonic number of S, denoted by \(f_{tev}(S)\) is the cardinality of a minimum forcing subset of S. The forcing total edge-to-vertex monophonic number of G, denoted by \(f_{tev}(G) = \textit{min}\{f_{tev}(S)\}\), where the minimum is taken over all total edge-to-vertex monophonic set S in G. The forcing total edge-to-vertex monophonic number of certain classes of graphs are determined and some of its general properties are studied. It is shown that for every integers a and b with \(0 \le a \le b\) and \(b \ge 2\), there exists a connected graph G such that \(f_{tev}(G) = a\) and \( m _{tev}(G) = b\), where \( f _{tev}(G)\) is the forcing total edge-to-vertex monophonic number of G.     

Perceived managerial and leadership effectiveness within a Moroccan Higher Education Institution

The purpose of this research was to determine what behaviourally distinguishes effective and ineffective managers within a Moroccan Higher Education Institution (HEI). The critical incident technique (CIT) was the methodology deployed to collect data from participants in terms of how they perceive managers as either effective or ineffective. The collected data (CIs) were subjected to content and thematic analysis that resulted in derived positive and negative behavioural statements (BSs). A total of 42 participants/informants were interviewed and revealed a total of 418 CIs, of which 189 were positive CIs and 229 were negative. The analysis revealed a total of 49 BSs, of which 19 were positive and 30 were negative behavioural indicators. The findings of this investigation bring empirical evidence to understand what and how managers are perceived as effective or ineffective in the Moroccan academic context and, therefore, adds to the literature. The information obtained can also provide rich information/knowledge that can be used as a basis to address the behavioural developmental needs of managers in HEIs. This research adds value by following by following two previous replication studies in a French and a Hungarian HEI; moreover, this study is the first to be conducted in the Moroccan/North African region.     

The matching extension problem in general graphs is co-NP-complete

A simple connected graph G with 2n vertices is said to be k-extendable for an integer k with \(0<k<n\) if G contains a perfect matching and every matching of cardinality k in G is a subset of some perfect matching. Lakhal and Litzler (Inf Process Lett 65(1):11–16, 1998) discovered a polynomial algorithm that decides whether a bipartite graph is k-extendable. For general graphs, however, it has been an open problem whether there exists a polynomial algorithm. The new result presented in this paper is that the extendability problem is co-NP-complete.     

Reliability evaluation of a multicast over coded packet networks

Network coding is a generalization of conventional routing methods that allows a network node to code information flows before forwarding them. While it has been theoretically proved that network coding can achieve maximum network throughput, theoretical results usually do not consider the stochastic nature in information processing and transmission, especially when the capacity of each arc becomes stochastic due to failure, attacks, or maintenance. Hence, the reliability measurement of network coding becomes an important issue to evaluate the performance of the network under various system settings. In this paper, we present analytical expressions to measure the reliability of multicast communications in coded networks, where network coding is most promising. We define the probability that a multicast rate can be transmitted through a coded packet network under a total transmission cost constraint as the reliability metric. To do this, we first introduce an exact mathematical formulation to construct multicast connections over coded packet networks under a limited transmission cost. We then propose an algorithm based on minimal paths to calculate the reliability measurement of multicast connections and analyze the complexity of the algorithm. Our results show that the reliability of multicast routing with network coding improved significantly compared to the case of multicast routing without network coding.     

A feasibility approach for constructing combinatorial designs of circulant type

In this work, we propose an optimization approach for constructing various classes of circulant combinatorial designs that can be defined in terms of autocorrelation. The problem is formulated as a so-called feasibility problem having three sets, to which the Douglas–Rachford projection algorithm is applied. The approach is illustrated on three different classes of circulant combinatorial designs: circulant weighing matrices, D-optimal matrices of circulant type, and Hadamard matrices with two circulant cores. Furthermore, we explicitly construct two new circulant weighing matrices, a CW(126, 64) and a CW(198, 100), whose existence was previously marked as unresolved in the most recent version of Strassler’s table.     

Ausbildung zum Ausbildungssupervisor für Verhaltenstherapie

Psychotherapy requires a high qualification which is gained mainly in practical training. Own treatments of mentally ill patients during training requires close-meshed supervision. This also has to meet the highest standards, which require a systematic training as a training supervisor. This article discusses the various aspects that have to be taken into consideration in behavior therapy. Beyond adherence to therapy manuals, extremely complex interaction processes have to be taken into account that cannot be substantiated by the classical behavior therapy. To this extent, supervision appears as a bridge between science and the art of psychotherapy.